Active NPI
Brian Joseph Powers, DO
- Emergency Medicine Physician
- Boise, ID
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Emergency Medicine Physician
- License
- O-1984
- Practice address
- 190 E Bannock St
Boise, ID 83712-6241 - Phone
- (208) 381-2222
- NPI assigned
- May 14, 2021
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Emergency Medicine Physician | 207P00000X | O-1984 | ID | Primary |
Addresses
Primary practice location
190 E Bannock St
Boise, ID 83712-6241
Mailing address
190 E Bannock St
Boise, ID 83712-6241
Phone (208) 381-2222
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in WI, MI, OH
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 3
Care Compare profile
Medicare Care Compare- Specialty
- Emergency Medicine
- Education
- Other, 2021
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
2601 Electric Ave
Port Huron, MI 48060-6587
Phone (810) 216-1500
2817 New Pinery Rd
Portage, WI 53901-9240
Phone (608) 742-4131
Hospital & facility affiliations
- Garden City Hospital
- Fairfield Medical Center
- Aspirus Divine Savior Hospital
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Osteopathy
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Ihp Mi Emergency Medicine PLLC | Emergency Medicine | Current | Accepting new patients |
| Medical Services, Inc | Emergency Medicine | Current | Accepting new patients |
| Medical Services, Inc | Current | Accepting new patients | |
| Divine Savior Healthcare, Inc. | Emergency Medicine | Current | Accepting new patients |
| Divine Savior Healthcare, Inc. | Current | Accepting new patients |
Locations
29980 Network Pl
Chicago, IL 60673
6245 Inkster Rd
Garden City, MI 48135
Phone (734) 421-3300
2601 Electric Ave
Port Huron, MI 48060
Phone (810) 216-1500
11040 N State Road 77
Hayward, WI 54843
Phone (715) 934-4244
2817 New Pinery Rd
Portage, WI 53901
Phone (608) 745-4598
Interoperability endpoints
- bpowers741370@direct.ochin.org
- bpowers745757@direct.hfhs.org
Organizations & group practices 6
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- General Acute Care Hospital
- Portage, WI
- NPI 1124083894
Emergency Medicine
-
- Emergency Medicine Physician
- Garden City, MI
- NPI 1861147456
-
- Emergency Medicine Physician
- Lancaster, OH
- NPI 1881025344
-
- Rural Health Clinic/Center
- Portage, WI
- NPI 1386154417
-
- Rural Health Clinic/Center
- Hayward, WI
- NPI 1386316537
Hospital & facility affiliations 3
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Portage, WI
- NPI 1124083894
-
- General Acute Care Hospital
- Lancaster, OH
- NPI 1467433763
-
- General Acute Care Hospital
- Garden City, MI
- NPI 1043625940
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1620950400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1722556800000",
"number": "1083288062",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "190 E BANNOCK ST",
"city": "BOISE",
"state": "ID",
"postal_code": "837126241",
"telephone_number": "208-381-2222"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "190 E BANNOCK ST",
"city": "BOISE",
"state": "ID",
"postal_code": "837126241",
"telephone_number": "208-381-2222"
}
],
"practiceLocations": [],
"basic": {
"last_name": "POWERS",
"first_name": "BRIAN",
"middle_name": "JOSEPH",
"credential": "DO",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2021-05-14",
"last_updated": "2024-08-02",
"certification_date": "2024-08-02",
"status": "A"
},
"taxonomies": [
{
"code": "207P00000X",
"taxonomy_group": "",
"desc": "Emergency Medicine",
"state": "ID",
"license": "O-1984",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Boise, ID
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 2, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.